| NPI | 1538716154 |
|---|---|
| Former Name | DEANNA PATTERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR 202009367NP-PP) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2022-07-22 |