| NPI | 1952405318 |
|---|---|
| Former Name | MARYLN A PATTERSON-LAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 84646) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME76490) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2022-04-14 |