| NPI | 1184871022 |
|---|---|
| Former Name | ANNA MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA053586) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2023-11-16 |