| NPI | 1225767957 |
|---|---|
| Former Name | MOLLY M BUZAKOVIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 11639) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND F06220029) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R41799) | |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2025-01-28 |