| NPI | 1356901821 |
|---|---|
| Former Name | NICOLE MARIE MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1070729) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0994709-NP) |
| 363L00000X Nurse Practitioner (Licence: CA 95014738) | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2023-01-06 |