| NPI | 1427283811 |
|---|---|
| Former Name | PATRICIA ANN PATRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-2403) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 170523) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2020-09-17 |