NPI | 1073860466 |
---|---|
Former Name | JOSEPHINE NWACHUKWU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: DC RN1012764) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R174691) |
Enumeration Date | 2012-08-06 |
Last Update Date | 2016-02-01 |