| NPI | 1629590146 |
|---|---|
| Former Name | AMELIA MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994976-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA rn2313025) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2024-01-11 |