| NPI | 1063524049 |
|---|---|
| Former Name | RAKIYA ENGO AKWA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX N4380) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: TX N4380) |
| 261QP2300X Clinic/Center, Primary Care (Licence: TX N4380) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-10-23 |