NPI | 1316670854 |
---|---|
Former Name | CARA TERESA BUTCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2317247) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 193628) |
163W00000X Registered Nurse (Licence: MA RN2317247) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2317247) | |
Enumeration Date | 2022-07-01 |
Last Update Date | 2023-12-04 |