NPI | 1487118931 |
---|---|
Former Name | MICHELLE MARIE BUTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP145947) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 698257) |
Enumeration Date | 2019-01-29 |
Last Update Date | 2022-10-13 |