| NPI | 1528673803 | 
|---|---|
| Former Name | TAMEKA RENDER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11003807) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003807) | 
| Enumeration Date | 2020-09-13 | 
| Last Update Date | 2022-01-26 |