| NPI | 1942483649 |
|---|---|
| Former Name | EILEEN LOUISE TEHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420862) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 577092) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |