| NPI | 1972049054 |
|---|---|
| Former Name | VANESSA MARIE BUSTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AK 115640) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2019-04-05 |