NPI | 1790885002 |
---|---|
Former Name | SARA JEANETTE PATTERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166746) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9205510) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2007-07-08 |