NPI | 1144810342 |
---|---|
Former Name | CHRISTINE MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9539799) |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: FL PMD517140) |
Enumeration Date | 2021-01-21 |
Last Update Date | 2021-01-21 |