NPI | 1093162653 |
---|---|
Former Name | IMOLEAYO OLUWAYEMISI SALAAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209025775) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN399716) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2022-12-22 |