| NPI | 1952815532 |
|---|---|
| Professional Name | SHANE MARTIN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201810779RN) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OK 116346) |
| Enumeration Date | 2017-11-19 |
| Last Update Date | 2019-07-05 |