| NPI | 1063643294 |
|---|---|
| Former Name | PAMELA J MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: TX 1066) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: TX 1066) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |