| NPI | 1962210062 |
|---|---|
| Former Name | JENNA MARIE BUYS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1170776) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 967882) |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2025-02-12 |