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 |