| NPI | 1376242594 |
|---|---|
| Former Name | PAIGE ROSELEN BUELOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013693A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28261517A) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-03-31 |