| NPI | 1992141832 |
|---|---|
| Former Name | KAITLIN ELIZABETH MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: WI 64112 - 20) |
| Enumeration Date | 2013-05-19 |
| Last Update Date | 2021-01-07 |