NPI | 1568044501 |
---|---|
Former Name | JANA MICHELLE BUETTNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 201761) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TX 1888265) |
Enumeration Date | 2021-04-27 |
Last Update Date | 2024-09-19 |