| NPI | 1184629107 |
|---|---|
| Former Name | DENISE M DEFALCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F-103719) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209-003068) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2012-05-21 |