NPI | 1003063140 |
---|---|
Former Name | EMILY PENN MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0067509) |
Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: IL 036134204) |
207R00000X Internal Medicine (Licence: IL 036134204) | |
Enumeration Date | 2008-08-20 |
Last Update Date | 2022-01-24 |