NPI | 1083607634 |
---|---|
Former Name | JULIANNA MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 55863) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A81004) |
Enumeration Date | 2005-08-30 |
Last Update Date | 2017-01-05 |