| NPI | 1689151607 |
|---|---|
| Former Name | MARTHA ASENCIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9490616) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NJ00831600) |
| 207Q00000X Family Medicine (Licence: FL 9490616) | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2022-03-17 |