NPI | 1780045005 |
---|---|
Former Name | SUZANNE HILLELSOHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 0752399) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 709740) |
Enumeration Date | 2016-03-14 |
Last Update Date | 2019-10-08 |