| NPI | 1922688225 |
|---|---|
| Former Name | ALEXIS MARIE BUSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11033294) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9464002) |
| Enumeration Date | 2021-04-11 |
| Last Update Date | 2024-08-26 |