| NPI | 1043761000 |
|---|---|
| Former Name | JENNIFER MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95009983) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2023-02-07 |