| NPI | 1265620538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA C HILL Owner 304-233-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WV 20527) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-16 |