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 |