| NPI | 1467764613 |
|---|---|
| Former Name | RITCHELLE SUZANNE MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS12804) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 274346-130) |
| Enumeration Date | 2010-07-04 |
| Last Update Date | 2019-10-14 |