NPI | 1851610026 |
---|---|
Former Name | PATRICIA RENEE SANFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305384) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 305384) |
Enumeration Date | 2010-05-26 |
Last Update Date | 2023-09-29 |