| NPI | 1215486972 |
|---|---|
| Former Name | BETTY HUTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R192725) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: MD 04562) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-10-11 |