| NPI | 1588041065 |
|---|---|
| Former Name | CONSUELO ANN MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: CA 020002224) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2021-01-28 |