| NPI | 1043296684 | 
|---|---|
| Other Name | AUDREY ANN BUTLER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA00125L)  | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA000233L)  | 
| Enumeration Date | 2005-12-15 | 
| Last Update Date | 2011-05-04 |