| NPI | 1255477212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA L LINKOUS Owner 304-254-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 39049) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-04-22 |