NPI | 1700389426 |
---|---|
Former Name | SONIA ZUZANNA BUTTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9708) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018007654) |
Enumeration Date | 2018-03-09 |
Last Update Date | 2023-12-05 |