| NPI | 1760880009 |
|---|---|
| Former Name | OCTAVIA ALEXIS KABOBEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.16938) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.16938-NP) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2023-04-29 |