| NPI | 1942333745 |
|---|---|
| Former Name | PATTY WATERHOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 266529) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VT 042-0011547) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2014-02-04 |