| NPI | 1215257829 |
|---|---|
| Former Name | JUDITH ELLENA GROSSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F383023-01) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 616136-1) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NY 616136-1) | |
| 163W00000X Registered Nurse (Licence: NY 616136) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NY F383023-01) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2023-03-20 |