| NPI | 1477556397 |
|---|---|
| Former Name | CYNTHIA GROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TN 144476) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: VA 0024165896) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2009-08-28 |