| NPI | 1093011074 |
|---|---|
| Former Name | ERIN K MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 2046) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110005001) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2022-01-19 |