NPI | 1811418767 |
---|---|
Former Name | KRISTIN BUSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 241603-30) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 321944-31) |
Enumeration Date | 2017-06-30 |
Last Update Date | 2020-03-10 |