NPI | 1487032520 |
---|---|
Former Name | ASHLEE TUBB-MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60525660) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201502633NP-PP) |
363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201502633NP-PP) | |
Enumeration Date | 2015-05-08 |
Last Update Date | 2022-03-01 |