NPI | 1295486959 |
---|---|
Former Name | ABBEY ELIZABETH BUTNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110-008283) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA200001850) |
Enumeration Date | 2022-01-14 |
Last Update Date | 2024-04-04 |