NPI | 1831642388 |
---|---|
Former Name | YORBALICA MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 7137-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 157394-30) |
Enumeration Date | 2016-08-02 |
Last Update Date | 2017-02-10 |