NPI | 1811410442 |
---|---|
Former Name | VANESSA L BUTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60785849) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00173693) |
363L00000X Nurse Practitioner (Licence: WA AP60785849) | |
Enumeration Date | 2017-07-25 |
Last Update Date | 2023-08-15 |