| NPI | 1679855407 |
|---|---|
| Former Name | PATRICIA CHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2283384) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115369) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2015-12-17 |