NPI | 1184209314 |
---|---|
Former Name | AMANDA PATTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H161835) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IA H161835) |
363LA2100X Nurse Practitioner Acute Care (Licence: IA H161835) | |
Enumeration Date | 2021-03-09 |
Last Update Date | 2021-04-10 |