| NPI | 1790195907 |
|---|---|
| Other Name | ANGIE LEIGH BUSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: TX S1284) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2024-09-20 |