| NPI | 1285077370 |
|---|---|
| Former Name | LAURA JANET MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2024-06-27 |