NPI | 1811106891 |
---|---|
Other Name | ATARAH EVE MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 77537) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD29451) |
208D00000X General Practice (Licence: OR LL16337) | |
Enumeration Date | 2007-05-22 |
Last Update Date | 2022-04-25 |