NPI | 1063944742 |
---|---|
Former Name | CHIDINMA OBY EZEANA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131761) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 777155) |
Enumeration Date | 2017-03-31 |
Last Update Date | 2017-03-31 |