| NPI | 1962903427 |
|---|---|
| Former Name | AVA LIANNA CALBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009836) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 444985) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2019-02-27 |