| NPI | 1710956354 |
|---|---|
| Former Name | LYNNE BUSAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 135572) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 135572) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2010-11-05 |