| NPI | 1962135368 |
|---|---|
| Former Name | AVERY DAWN HAVERLUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R40373) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R40373) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2025-10-14 |