NPI | 1003271586 |
---|---|
Former Name | ANGELA ATIENO OBONDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209025487) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017028749) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-12-28 |
Last Update Date | 2022-09-08 |