| NPI | 1578340832 |
|---|---|
| Former Name | DEANNA MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL 11028546) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11028546) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11028546) | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-12-14 |