NPI | 1073003398 |
---|---|
Former Name | UMU BENJAMIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD AC002426) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024176104) |
Enumeration Date | 2018-05-11 |
Last Update Date | 2025-07-10 |