NPI | 1487711685 |
---|---|
Former Name | AINSLEY CHRISTINE BUSHA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME110350) |
Additional Taxonomies | 208600000X Surgery (Licence: GA 077479) |
208600000X Surgery (Licence: TN 48572) | |
Enumeration Date | 2007-01-03 |
Last Update Date | 2023-06-16 |