| NPI | 1235229535 |
|---|---|
| Former Name | TERRYL A BUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277-000264) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041162013/209000866) |
| Enumeration Date | 2006-10-15 |
| Last Update Date | 2020-03-11 |