| NPI | 1194798488 |
|---|---|
| Former Name | PAULA K WILLENBORG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA J050653) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA 050653) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2019-06-28 |