| NPI | 1669715728 |
|---|---|
| Former Name | AUDREY C. BUTCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 74341) |
| Additional Taxonomies | 208600000X Surgery (Licence: VT 042-0014052) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2024-10-03 |