| NPI | 1316369051 |
|---|---|
| Former Name | AVERY KARYN FERNANNE ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95000231) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 734395) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2015-06-25 |