Type 1 individualNPI 1194659128

MARTHA JOCELYN MATURINO

163WE0003X · LAKEWAY, TX

Why this profile is appearing now

Observed change signals

Newly enumerated

The official enumeration date falls within the documented new-enumeration window.

  • Enumeration date is 42 days before observation

Reported classification

Taxonomies

CodeDescriptionSource flag
163WE0003X 163WE0003X Primary

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s