NPI | 1497229751 |
---|---|
Former Name | TAMEKA LATOYA JACKSON-SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-122778) |
Additional Taxonomies | 374J00000X Doula |
172V00000X Community Health Worker | |
Enumeration Date | 2019-01-18 |
Last Update Date | 2024-09-06 |