NPI | 1386085199 |
---|---|
Former Name | KAREN SUE MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: HI RN-63111) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: HI RN-63111) |
Enumeration Date | 2013-07-09 |
Last Update Date | 2019-11-05 |