| NPI | 1891779468 |
|---|---|
| Former Name | JENNIFER J BUTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110001711) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: DC PA030295) |
| 363A00000X Physician Assistant (Licence: NJ 25MP00171700) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2015-11-10 |