| NPI | 1447947734 |
|---|---|
| Former Name | SHELBY BUTCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: IL 041.323604) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |