| NPI | 1295343903 |
|---|---|
| Former Name | ELIZABETH ANN BUSHONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010227A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28153079A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28153079A) | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2024-12-04 |