| NPI | 1235304023 |
|---|---|
| Former Name | JENNIFER BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 4031) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN122940) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2016-04-01 |