| NPI | 1770922098 |
|---|---|
| Former Name | MARY ROSE BUSCHOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000723) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338010-1) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2020-05-29 |