NPI | 1073261640 |
---|---|
Former Name | ABIDEMI OKEOWO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5015998) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 247983) |
Enumeration Date | 2022-03-14 |
Last Update Date | 2024-04-23 |