| NPI | 1912170622 |
|---|---|
| Former Name | YVETTE NICOLE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 52294) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 104521) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2020-08-04 |