| NPI | 1952079931 |
|---|---|
| Former Name | TASHINA LOUISE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202215622NP-PP) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: OR 200541447RN) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2023-01-16 |