| NPI | 1376944371 |
|---|---|
| Former Name | TAMMY LYNN MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 104788) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704234470) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |