NPI | 1265721963 |
---|---|
Former Name | PATRICIA BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 004603) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 4603) |
Enumeration Date | 2011-04-04 |
Last Update Date | 2021-07-06 |