| NPI | 1407385479 |
|---|---|
| Former Name | ALLISON I MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP017832) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP017832) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2020-09-01 |