| NPI | 1417338831 |
|---|---|
| Former Name | LYNN CORNELIA HARTOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172657) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024172657) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2022-01-10 |