| NPI | 1942633300 |
|---|---|
| Former Name | KARIN KASSANDRA MARTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014822) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 665043) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2022-01-12 |