| NPI | 1407490543 |
|---|---|
| Former Name | TAMARA MARIE BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143870) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP143870) |
| 207R00000X Internal Medicine (Licence: TX AP143870) | |
| 363L00000X Nurse Practitioner (Licence: TX AP143870) | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2020-01-24 |