NPI | 1932450301 |
---|---|
Former Name | MARTHA PAMELA CONNERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9119619) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA MA055621) |
Enumeration Date | 2012-09-26 |
Last Update Date | 2025-07-31 |