| NPI | 1083009823 |
|---|---|
| Former Name | MARTHA ANNE HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208600000X Surgery (Licence: NM MD-2022-1504) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2024-01-04 |