NPI | 1164718540 |
---|---|
Other Name | ABBY GROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD20135) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-06-23 |
Last Update Date | 2014-12-22 |