NPI | 1548593122 |
---|---|
Former Name | BRENDA ANNE PATTERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23069) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 465647-1) |
363LF0000X Nurse Practitioner, Family (Licence: NY F339792-1) | |
Enumeration Date | 2009-09-14 |
Last Update Date | 2020-09-24 |