NPI | 1386801504 |
---|---|
Former Name | STEPHANIE LYNNE PATTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01069356A) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301092010) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301092010) | |
Enumeration Date | 2008-05-16 |
Last Update Date | 2016-09-16 |