| NPI | 1790908887 |
|---|---|
| Former Name | LYNSEY M MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601004918) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MI 5601004918) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-10-14 |