NPI | 1023475142 |
---|---|
Professional Name | JEMIA DARICE MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 207422) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 812750) |
Enumeration Date | 2016-01-20 |
Last Update Date | 2025-06-23 |