| NPI | 1164857124 |
|---|---|
| Former Name | TAKIA SHAWNTA STARKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 233848) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024179615) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5006433) | |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2021-08-13 |