| NPI | 1225397706 |
|---|---|
| Former Name | MARIA D MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 085004321) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085004321) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2024-06-26 |