NPI | 1548637788 |
---|---|
Former Name | CHRISTINE GROSSO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00640400) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP015147) |
Enumeration Date | 2015-08-24 |
Last Update Date | 2025-08-18 |