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 | 2024-10-29 |