| NPI | 1598729535 |
|---|---|
| Former Name | AMY PATTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301074281) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301074281) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: MI 4301074281) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2023-11-03 |