| NPI | 1588752869 |
|---|---|
| Former Name | MELANIE E MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: WY 27454.1008) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 155558) |
| 363L00000X Nurse Practitioner (Licence: KS 1485905121) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-01-26 |