| NPI | 1013334184 |
|---|---|
| Former Name | AMY ELIZABETH MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 51016) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 51016) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2020-09-14 |