NPI | 1093960130 |
---|---|
Former Name | OLUFUNKE S OLUMEGBON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0068784) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 60251065) |
208000000X Pediatrics (Licence: CT 046982) | |
Enumeration Date | 2008-11-17 |
Last Update Date | 2022-02-08 |