| 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 |