| NPI | 1245763762 |
|---|---|
| Former Name | MARTHA MARIE LANDRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP09271) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09271) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2021-11-24 |