NPI | 1265847644 |
---|---|
Former Name | SARAH MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD464389) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10782400) |
Enumeration Date | 2014-06-24 |
Last Update Date | 2023-12-28 |