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 |