Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | CP002267 | SD |
NPI | 1003568288 |
---|---|
Provider Name | Emily Elizabeth Boysen |
First Address | Sioux Falls, SD 57103-4517 |
Second Address | Sioux Falls, SD 57105-1503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2022 |
Last Update Date | 19/01/2022 |