| NPI | 1982246682 |
|---|---|
| Professional Name | MYRA LYNN UNDERWOOD-RUTLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020970) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |