NPI | 1316273469 |
---|---|
Former Name | CHRISTINA MICHELLE MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: IN 75000027A) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: FL AA45) |
Enumeration Date | 2009-10-26 |
Last Update Date | 2018-06-18 |