| NPI | 1346432283 |
|---|---|
| Former Name | ANGELA JOY BUSSCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 51519) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 51519) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2021-03-11 |