| NPI | 1952722332 |
|---|---|
| Former Name | JYNNIFER L MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171295) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001195965) |
| 163WG0000X Registered Nurse, General Practice (Licence: VA 0024171295) | |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2016-01-11 |