| NPI | 1407222417 |
|---|---|
| Former Name | CHRISTINA MARIE WEST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 022704) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3009553) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2019-08-06 |