NPI | 1528001047 |
---|---|
Former Name | MARTHA MYRTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0992829-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK R0040907) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2018-02-12 |