| NPI | 1528262326 | 
|---|---|
| Former Name | MARIA L BIVIANO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 09490)  | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH RN 301124)  | 
| Enumeration Date | 2007-06-14 | 
| Last Update Date | 2019-08-01 |