NPI | 1265910384 |
---|---|
Former Name | JANUARY L BUTCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023351) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.023351) |
Enumeration Date | 2018-07-31 |
Last Update Date | 2024-01-23 |