| NPI | 1710430392 |
|---|---|
| Former Name | MARTINA LOMIBAO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209014798) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041366794) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2021-05-24 |