| NPI | 1609348044 |
|---|---|
| Former Name | ALLIZ NEREYDA MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111715) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2021-12-20 |