NPI | 1578821013 |
---|---|
Former Name | SABRE AMIRA PATTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD191286) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD.208166) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A151566) | |
Enumeration Date | 2012-05-02 |
Last Update Date | 2022-10-17 |