| NPI | 1609112515 |
|---|---|
| Former Name | KAROLYN S MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 4953) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-03961) |
| 363A00000X Physician Assistant (Licence: SC 2486) | |
| 363AS0400X Physician Assistant, Surgical (Licence: NC 0010 03961) | |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2022-03-22 |