| NPI | 1346496296 |
|---|---|
| Former Name | PATRICIA ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F338909) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 568291) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2022-07-21 |