NPI | 1093944225 |
---|---|
Former Name | PATRICIA C BUTTKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: TX R1596) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101248659) |
Enumeration Date | 2009-07-09 |
Last Update Date | 2022-07-21 |