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 |