| NPI | 1902441181 |
|---|---|
| Former Name | HANNAH JEAN PATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3401) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: SC 3401) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2022-03-02 |