| NPI | 1215338355 |
|---|---|
| Former Name | PAULA DAHLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 4481) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 1463) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2017-10-25 |