| NPI | 1861888455 |
|---|---|
| Former Name | OLIVIA ROSE WORKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009170) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN78438-NP-C) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2016-04-28 |