| NPI | 1952321580 |
|---|---|
| Former Name | PAMELA SUE FITZPATRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081H0002X (Licence: MO 100307) |
| Additional Taxonomies | 2081H0002X (Licence: KS 04-22812) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2022-08-19 |