| NPI | 1407012230 |
|---|---|
| Former Name | JULIA MARIE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15857) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TN 158605) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2014-04-15 |