Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD60057935 | WA |
N | 207VG0400X | Gynecologist | MD60057935 | WA |
N | 207VX0000X | Obstetrician | MD60057935 | WA |
NPI | 1285833939 |
---|---|
Provider Name | Elizabeth Kathleen Boswell |
First Address | Auburn, WA 98001-4939 |
Second Address | Auburn, WA 98001-4939 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2007 |
Last Update Date | 26/05/2011 |