| NPI | 1922250307 |
|---|---|
| Former Name | BETTY PATRICK MARSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: CA 34984) |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL PT21386) |
| 171W00000X Contractor (Licence: TX 1006468) | |
| 171W00000X Contractor (Licence: CO 9599) | |
| 171W00000X Contractor (Licence: NC 9413) | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |