| NPI | 1538303797 |
|---|---|
| Former Name | JAMIE LAUREN BUSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60749752) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A116946) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2022-06-10 |