| NPI | 1053793273 |
|---|---|
| Former Name | KRISTIE ABIMBOLA ADEBAYO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 00295603) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 63783) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2019-11-14 |