| NPI | 1083899884 |
|---|---|
| Former Name | MICHELE LORRAINE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: DC md043813) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD D74481) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2022-11-16 |