| NPI | 1407227101 |
|---|---|
| Former Name | CARLEY BUTTELMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MT MED-PAC-LIC-76234) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC0617) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2021-12-14 |