| NPI | 1134782303 |
|---|---|
| Former Name | PATRICIA LEE DUNHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 210859-1) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |