| NPI | 1154754414 |
|---|---|
| Former Name | IRINA G BUTUZOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9200798) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: FL ARNP9200798) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2021-04-09 |