| 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 |