NPI | 1922292374 |
---|---|
Former Name | AMY ELIZABETH BUTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085003139) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2007-08-29 |
Last Update Date | 2025-08-08 |