| NPI | 1861544249 |
|---|---|
| Former Name | MARTHA BLOCK, DONNELLY, PALMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 345522) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2023-03-07 |