NPI | 1700925138 |
---|---|
Former Name | PATRICIA OGDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71013467) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 309003074) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2024-02-12 |