| NPI | 1649216045 |
|---|---|
| Former Name | JODI L GROSSMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 52096) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036112238) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2021-11-24 |