| 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 | 172V00000X Community Health Worker |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |