NPI | 1063267896 |
---|---|
Former Name | CHINECHEREM MIRACLE CHIME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 125086794) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC CHIM-GIHUNJ) |
Enumeration Date | 2024-04-23 |
Last Update Date | 2025-07-09 |