| NPI | 1699021113 |
|---|---|
| Former Name | AMANDA L MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3007445) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007445) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2023-05-24 |