| NPI | 1528449550 |
|---|---|
| Former Name | TAMIKA MAXWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R174533) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024173502) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2026-04-09 |