| NPI | 1801352711 |
|---|---|
| Former Name | SHANYQ GENYNE PATTERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402593) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2023-05-01 |