NPI | 1023408986 |
---|---|
Former Name | MANDY BUTTERSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95001565) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95001565) |
Enumeration Date | 2015-01-30 |
Last Update Date | 2021-06-10 |