| NPI | 1588745376 |
|---|---|
| Former Name | KELLI L MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101255080) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME EC-05-067) |
| 207L00000X Anesthesiology (Licence: ME 018377) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2015-03-18 |