| NPI | 1538564299 |
|---|---|
| Former Name | MARTHA ELIZABETH BALDWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9108153) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9108153) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2023-11-01 |