NPI | 1790382323 |
---|---|
Former Name | MELISSA BUTSCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10439) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 10439-33) |
Enumeration Date | 2020-10-06 |
Last Update Date | 2023-12-10 |