NPI | 1548412455 |
---|---|
Other Name | ABIGAIL LEIGH MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20778) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.10391) |
Enumeration Date | 2008-10-22 |
Last Update Date | 2020-11-13 |