NPI | 1467611293 |
---|---|
Former Name | KRISTI LYNN MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX P9878) |
Enumeration Date | 2008-06-06 |
Last Update Date | 2014-06-17 |