NPI | 1184223562 |
---|---|
Former Name | ANNE MARIE MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 863057) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1004301) |
Enumeration Date | 2020-10-18 |
Last Update Date | 2025-03-10 |