| NPI | 1770977571 |
|---|---|
| Former Name | AUDREY CHRISTINE BUTCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AK 113710) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2022-11-10 |