NPI | 1871814848 |
---|---|
Former Name | BETHANY S BUTTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704290976) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006569) |
363LF0000X Nurse Practitioner, Family (Licence: KY 3006569) | |
Enumeration Date | 2010-06-14 |
Last Update Date | 2022-02-03 |