| NPI | 1780113159 |
|---|---|
| Former Name | ALECIA MARIE MARTUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2024-05-13 |