| NPI | 1902982309 |
|---|---|
| Former Name | MICHELLE RAYE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30005779) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN00117248) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201400898NP) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2014-03-25 |