NPI | 1083167886 |
---|---|
Former Name | IDORENYIN ESSIEN ESSIEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP131206) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131206) |
363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP131206) | |
Enumeration Date | 2016-07-27 |
Last Update Date | 2022-03-04 |