| NPI | 1699040097 |
|---|---|
| Former Name | LISA A MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APRN.CNP.16103) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA-16103-NP) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2024-06-18 |