| NPI | 1811617434 |
|---|---|
| Former Name | ALEXANDRA SUSSMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 350294) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 350294) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2022-09-01 |