| NPI | 1194397034 |
|---|---|
| Former Name | SELENA COOMBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.0028894) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH APRN.CNP.0028894) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2022-01-20 |