| NPI | 1598082059 |
|---|---|
| Other Name | JANELL LANICE BUTTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010694) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP010694) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2020-10-13 |