NPI | 1194768788 |
---|---|
Former Name | ANDREA R MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101239777) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2013039509) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2025-09-18 |