NPI | 1255834941 |
---|---|
Former Name | ELVIRA G. MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP020893) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP020893) |
363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP020893) | |
Enumeration Date | 2018-03-09 |
Last Update Date | 2020-12-30 |