| NPI | 1386700607 |
|---|---|
| Former Name | DIANE M GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400548) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F330063) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2011-07-12 |