| NPI | 1760677132 |
|---|---|
| Former Name | MISTY M BUTTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2471V0105X Radiologic Technologist Vascular Sonography (Licence: 56133) |
| Additional Taxonomies | 2471S1302X Radiologic Technologist Sonography (Licence: 56133) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |