| NPI | 1780356642 |
|---|---|
| Former Name | JULIA MAE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA-1029) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2023-01-27 |