| NPI | 1932145190 |
|---|---|
| Former Name | PATRICIA ANN LOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS010501L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS-010501-L) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2024-01-18 |