| NPI | 1003034398 |
|---|---|
| Former Name | MISTY L LANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335140) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 561968) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2013-09-17 |