NPI | 1851024319 |
---|---|
Other Name | LAURA BETH BUSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KS 81298) |
Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: KS 81298) |
Enumeration Date | 2022-07-02 |
Last Update Date | 2024-03-22 |