| NPI | 1033733027 |
|---|---|
| Former Name | DORIS IFEOMA AGU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202004180NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95015565) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2022-07-18 |