| NPI | 1588112858 |
|---|---|
| Former Name | CHRISTINA MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: RI APRN01467) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA RN2288569) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2019-06-24 |