| NPI | 1942826375 |
|---|---|
| Former Name | CLARISSA JOYE BUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95018431) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2022-03-14 |