NPI | 1003032855 |
---|---|
Former Name | CHINYERE NGOZI MUFORO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0004111) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DC PA030649) |
363AM0700X Physician Assistant, Medical (Licence: VA 0110003552) | |
363AM0700X Physician Assistant, Medical (Licence: FL 5103548) | |
Enumeration Date | 2007-04-18 |
Last Update Date | 2012-05-08 |