| NPI | 1063486785 |
|---|---|
| Former Name | MARTHA B DINNEEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024175599) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F301310) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2019-10-22 |