| NPI | 1447461314 |
|---|---|
| Former Name | DARLENE M MCCULLOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 5009929) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: VA 0024167791) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 579151) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-04-29 |