NPI | 1366760415 |
---|---|
Former Name | MAUREEN POWELL BUTTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004644) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5004644) |
Enumeration Date | 2010-05-13 |
Last Update Date | 2010-05-13 |