| NPI | 1750879110 |
|---|---|
| Former Name | MACRINA BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2021-01958) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 238837) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2024-05-30 |