NPI | 1457619330 |
---|---|
Former Name | CHARLOTTE A PATTERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224P00000X Prosthetist (Licence: TX 1486) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 1527) |
Enumeration Date | 2012-04-27 |
Last Update Date | 2012-04-27 |