NPI | 1134315039 |
---|---|
Former Name | MARY KATHERINE BUSSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 51873) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A100864) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2023-06-30 |