NPI | 1447865126 |
---|---|
Former Name | JENNIFER RENEE MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 95085051) |
Enumeration Date | 2020-09-10 |
Last Update Date | 2020-09-10 |