| NPI | 1669911541 |
|---|---|
| Other Name | MARYANN ANN MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP133255) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: TX AP133255) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2021-12-14 |