| NPI | 1003632399 |
|---|---|
| Former Name | BLESSING OTANIYEN OMWANGHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95033128) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |