| NPI | 1548765951 |
|---|---|
| Former Name | JANE JANET MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP11139) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP11139) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP11139) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |