| NPI | 1194019398 |
|---|---|
| Former Name | TASHARA NATASHJA MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 61785) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL33679) |
| 208000000X Pediatrics (Licence: FL ME119054) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2023-05-17 |