| NPI | 1497412571 |
|---|---|
| Former Name | JENNIFER BUSSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012008A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28229924A) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2022-09-01 |