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 |