| NPI | 1174515142 |
|---|---|
| Former Name | MARTHA ANNE MINEHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 003594) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 003594) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2025-11-12 |