| NPI | 1831652239 |
|---|---|
| Former Name | BOBBIE JO LEATHERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 109120) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 78385) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2025-08-19 |