NPI | 1285189274 |
---|---|
Former Name | MISHAWNA BUSSING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041390905) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP140063) |
Enumeration Date | 2016-08-18 |
Last Update Date | 2024-01-04 |