| NPI | 1124344858 |
|---|---|
| Former Name | ERICA MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 54511) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 105576) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2021-11-13 |