| NPI | 1679761480 |
|---|---|
| Former Name | CHRISTINA LYNN PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14384-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 67671) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 200700572822) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2020-08-19 |