| NPI | 1255757217 |
|---|---|
| Former Name | PATRICIA BACKUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH AG0314007) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3008647) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2024-05-21 |