NPI | 1740390673 |
---|---|
Former Name | DESI MARTINEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 930209) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 163700) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2023-01-04 |