NPI | 1114659349 |
---|---|
Former Name | PAIGE M PAVLIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 114241) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NE 114241) |
Enumeration Date | 2022-06-27 |
Last Update Date | 2024-08-06 |