| NPI | 1275614653 |
|---|---|
| Former Name | AMY MARIE BUSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH RT 1325) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VT 042 011614) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-10-20 |