NPI | 1104597525 |
---|---|
Professional Name | CHAMEKA I TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202202706NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 30579) |
363LF0000X Nurse Practitioner, Family (Licence: TN F08211036) | |
Enumeration Date | 2021-09-24 |
Last Update Date | 2024-02-16 |