| NPI | 1376045187 |
|---|---|
| Former Name | MOLLY ELIZABETH BUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3012185) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 022368) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2019-05-01 |