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 |