| NPI | 1700109642 |
|---|---|
| Former Name | DIANA PATRICIA REID-ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338120) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 618692) |
| Enumeration Date | 2010-03-06 |
| Last Update Date | 2021-04-07 |