| NPI | 1740842798 |
|---|---|
| Former Name | COURTNEY MARIE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 009573) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: AZ 009573) |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2024-05-15 |