| NPI | 1477669505 |
|---|---|
| Former Name | CARMEN SUE BUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704148850) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2014-07-03 |