| NPI | 1487083978 |
|---|---|
| Former Name | AVALON BEDFORD DIBNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 5598) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 113331) |
| 163W00000X Registered Nurse (Licence: DE L1-0042593) | |
| 163W00000X Registered Nurse (Licence: ME RN61411) | |
| 163W00000X Registered Nurse (Licence: PA RN634654) | |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2014-09-30 |