NPI | 1881170538 |
---|---|
Former Name | ASHLEY MICHELLE BUSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24238) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: TN 153620) |
Enumeration Date | 2018-07-16 |
Last Update Date | 2019-07-11 |