NPI | 1396380572 |
---|---|
Former Name | PATRICIA JEAN PEDRETTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11508) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 117235) |
Enumeration Date | 2019-11-12 |
Last Update Date | 2023-05-09 |