NPI | 1053825224 |
---|---|
Former Name | STELLA UGORJI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R47975) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135739) |
Enumeration Date | 2017-11-27 |
Last Update Date | 2020-09-24 |