| NPI | 1285269068 |
|---|---|
| Former Name | AMYLEE MICHELLE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2024-02-06 |