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