| NPI | 1063473544 |
|---|---|
| Former Name | PATTI JO DYKEMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704151401) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 1494303) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2009-07-16 |