| NPI | 1336584291 |
|---|---|
| Former Name | NICOLE RIE MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 84478) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102204129) |
| 208D00000X General Practice (Licence: VA 0102204129) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2021-04-29 |