| NPI | 1164748158 |
|---|---|
| Former Name | MELISSA ANNE BUSOVSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 246873-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 246873-1) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2011-06-23 |