| NPI | 1184876369 |
|---|---|
| Former Name | RUTH PAGE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO PA.003449) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.003449) |
| Enumeration Date | 2008-10-19 |
| Last Update Date | 2025-09-25 |