| NPI | 1467551911 |
|---|---|
| Former Name | TAKISHA LASHAN HAMPTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA VN192828) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95033780) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2025-04-10 |