NPI | 1992151799 |
---|---|
Former Name | PATRICIA D REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2016017853) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2009029316) |
Enumeration Date | 2016-05-11 |
Last Update Date | 2021-01-13 |