| NPI | 1043733363 |
|---|---|
| Former Name | SANDRA OMOZEHIO IWUALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0101282681) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 306039) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2024-08-01 |