| NPI | 1194493932 |
|---|---|
| Former Name | BERNICE BUTTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405214) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 310387) |
| Enumeration Date | 2021-09-04 |
| Last Update Date | 2024-07-01 |