| NPI | 1114252798 |
|---|---|
| Former Name | CHIDIMMA I AZORO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP127629) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305110) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NY F340722-1) | |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2015-05-19 |