NPI | 1316700776 |
---|---|
Former Name | PATRICIA ARENA TODD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 115521) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 57600) |
Enumeration Date | 2024-01-30 |
Last Update Date | 2024-11-04 |