NPI | 1134636442 |
---|---|
Former Name | YELIAM ESTHER MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 342523) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 671960) |
Enumeration Date | 2018-01-08 |
Last Update Date | 2023-06-29 |