| NPI | 1225767957 |
|---|---|
| Former Name | MOLLY MARIE BUZAKOVIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R41799) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND F06220029) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2023-12-18 |