NPI | 1811399520 |
---|---|
Former Name | HALEY A PATTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN0000019713) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN215782) |
Enumeration Date | 2014-09-24 |
Last Update Date | 2018-12-19 |