| NPI | 1275557928 |
|---|---|
| Former Name | PATRICIA ANN VAN SLYKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00045633) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA 45633) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-04-28 |