| NPI | 1790382893 |
|---|---|
| Other Name | LANA EYRONE BUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003631) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN2159212) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |