| NPI | 1083164388 |
|---|---|
| Former Name | CHRISTINE MARGARET GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F307719-1) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |