| NPI | 1841463023 |
|---|---|
| Former Name | MARTHA J MAGALLANES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MT 35448) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |