NPI | 1144713470 |
---|---|
Former Name | ADRIENNE MICHELLE PATTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176187) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001242098) |
Enumeration Date | 2018-06-12 |
Last Update Date | 2018-06-12 |