| NPI | 1639100464 |
|---|---|
| Former Name | KATHLEEN A MARTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301093916) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301093916) |
| 208000000X Pediatrics (Licence: MI 4301093916) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2016-12-06 |