| NPI | 1114309762 |
|---|---|
| Former Name | PATRICIA RENA BARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO-60382401) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |