| NPI | 1033300926 |
|---|---|
| Former Name | CAROL LANE PATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AL 1051138) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |