NPI | 1467890251 |
---|---|
Former Name | MAAME-ESI BUTCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA057313) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C05054) |
Enumeration Date | 2013-06-13 |
Last Update Date | 2016-05-19 |