| NPI | 1871945881 |
|---|---|
| Former Name | LAURA FAYE GROSSMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382731-1) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 701197-1) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382731) | |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2025-03-24 |