| NPI | 1932362670 |
|---|---|
| Former Name | KATHERINE RENEE BOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301092780) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01069528A) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2016-11-07 |