| NPI | 1093093056 |
|---|---|
| Former Name | SHANAH DENISE MARTUCCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA RN121512-AP06572) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2022-07-21 |