| NPI | 1508863481 |
|---|---|
| Former Name | PAULA A SWAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.12178) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 42465) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-11-21 |