| NPI | 1629669213 |
|---|---|
| Former Name | ANDREA MAE DIBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028359) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.304614) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-02-05 |