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 |