| NPI | 1245277094 |
|---|---|
| Former Name | PATRICIA ANN WORTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MD R063595) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-07-08 |