NPI | 1437902210 |
---|---|
Former Name | CHRISTIE MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0035380) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 0035380) |
Enumeration Date | 2024-04-10 |
Last Update Date | 2024-07-02 |