| NPI | 1992760698 |
|---|---|
| Former Name | PAMELA L MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 19277) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: WV 19277) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2021-08-04 |