NPI | 1326370271 |
---|---|
Former Name | ZOE JAMILA MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9106071) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9106071) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2024-02-21 |