NPI | 1154001790 |
---|---|
Former Name | HEATHER N MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71014123A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028070) |
Enumeration Date | 2023-07-19 |
Last Update Date | 2024-12-18 |