| NPI | 1801634704 |
|---|---|
| Former Name | PATRICIA FORTNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95031625) |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2025-06-30 |