| NPI | 1427426444 |
|---|---|
| Former Name | STEPHANIE KATE BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173008) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001225567) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-10-19 |