| NPI | 1407505480 |
|---|---|
| Former Name | JUDITH SEVERIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY F350463-01) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |