| NPI | 1447314695 |
|---|---|
| Former Name | MARTHA MINIHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 002646) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F4205041) |
| 364S00000X Clinical Nurse Specialist (Licence: MA 96313) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |