| NPI | 1487809653 |
|---|---|
| Former Name | TRUDY MARCELLE GUTSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006641) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61520467) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168064) | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2024-01-31 |