NPI | 1023472925 |
---|---|
Former Name | SUSAN UCHENNA EZEMENARI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 85850) |
Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX 08523334) |
Enumeration Date | 2016-04-07 |
Last Update Date | 2020-07-14 |