NPI | 1013401439 |
---|---|
Former Name | IRENE LUCY OLONDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0097971) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD475056) |
Enumeration Date | 2018-06-19 |
Last Update Date | 2025-02-19 |