| NPI | 1104089390 |
|---|---|
| Former Name | EJIRO VIVIAN AGBORO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IA 38473) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 38473) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 275859) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2016-06-08 |