NPI | 1962771998 |
---|---|
Former Name | ESTHER R BUSHEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 5067) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 5067) |
363AM0700X Physician Assistant, Medical (Licence: AZ 5067) | |
Enumeration Date | 2011-12-20 |
Last Update Date | 2024-12-16 |