| NPI | 1114534575 |
|---|---|
| Former Name | ELIZABETH HARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY F3460004) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F346004) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2023-06-27 |