| NPI | 1841458676 |
|---|---|
| Former Name | LAKEYSHA TEAKA TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60264225) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 45323) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2014-11-05 |