| NPI | 1578579579 |
|---|---|
| Former Name | KIM MARIE GOSSEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F420632) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420632) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-07-15 |