| NPI | 1124413612 |
|---|---|
| Former Name | SOFIA MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01086080A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2018031630) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2021-12-01 |