NPI | 1225193253 |
---|---|
Former Name | VALERI A. MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601004845) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2014-08-06 |