| NPI | 1033591656 |
|---|---|
| Former Name | REBECCA M MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015553) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 64562) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-03-22 |