| NPI | 1992900492 |
|---|---|
| Former Name | PATRICE WANETTA DUMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2024035031) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 5383569011) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2026-02-13 |