| NPI | 1770204000 | 
|---|---|
| Former Name | HOLLY ANNE GROSSO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NY 432424)  | 
| Enumeration Date | 2022-09-06 | 
| Last Update Date | 2022-09-06 |