| NPI | 1841228251 |
|---|---|
| Other Name | MARTHA ANN MCCLUNG MODI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN042198) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2009-09-28 |