NPI | 1073599767 |
---|---|
Former Name | ERHIME TEKA OGHRE-IKANONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125067577) |
Additional Taxonomies | 208D00000X General Practice (Licence: IL 125067577) |
163W00000X Registered Nurse (Licence: MO 2004020321) | |
363L00000X Nurse Practitioner (Licence: MO 2004020321) | |
Enumeration Date | 2005-12-15 |
Last Update Date | 2015-10-16 |