| NPI | 1811200066 |
|---|---|
| Former Name | ALLISON ANN LIABRAATEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050156NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200642731RN) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2019-01-02 |