NPI | 1124386727 |
---|---|
Former Name | NANCY MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 129601) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 129601) |
Enumeration Date | 2012-05-02 |
Last Update Date | 2024-03-26 |