NPI | 1760922603 |
---|---|
Other Name | MARISTELA BUTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95005024) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005024) |
Enumeration Date | 2017-02-25 |
Last Update Date | 2023-06-01 |