| NPI | 1497170468 |
|---|---|
| Former Name | MEAGAN BUTSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NE 1392) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 1392) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2023-08-17 |