| NPI | 1649426040 |
|---|---|
| Former Name | ABIGAIL ELIZABETH GJELDUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SE0003X Clinical Nurse Specialist Emergency (Licence: VA 0110003999) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: FL PA9104677) |
| 363AM0700X Physician Assistant Medical | |
| 364SN0800X Clinical Nurse Specialist Neuroscience (Licence: FL PA9104677) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2013-11-06 |