| NPI | 1265887335 |
|---|---|
| Former Name | AMY BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201800084NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8622) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2020-09-17 |