| NPI | 1932851631 |
|---|---|
| Former Name | ANA CECILIA DE LA O MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NM 54337) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704387987) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2023-02-07 |