| 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 |