| NPI | 1295899094 |
|---|---|
| Former Name | PAMELA MARIE GANDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F335019-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335019-1) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2021-01-14 |