NPI | 1114268182 |
---|---|
Former Name | PATTI SUE BOOTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: IA A081578) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 081578) |
163WC0400X Registered Nurse, Case Management (Licence: IA 081578) | |
163WP0200X Registered Nurse, Pediatrics (Licence: IA 081578) | |
363LF0000X Nurse Practitioner, Family (Licence: IA A081578) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: IA A081578) | |
Enumeration Date | 2013-03-15 |
Last Update Date | 2021-09-29 |