NPI | 1255568358 |
---|---|
Former Name | WENDY A BUSHOUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71002950A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28135038a) |
Enumeration Date | 2009-06-16 |
Last Update Date | 2023-02-08 |