| NPI | 1225672785 |
|---|---|
| Former Name | ROBERTA LEE PATRICK (NIXON) |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AZ 233666) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 233666) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2023-11-29 |