NPI | 1114678711 |
---|---|
Former Name | GOLD OMOGBEHIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2279H0200X Respiratory Therapist, Registered Home Health (Licence: NC HC6427) |
Additional Taxonomies | 2278H0200X Respiratory Therapist, Certified Home Health |
374U00000X Home Health Aide (Licence: NC HC6427) | |
Enumeration Date | 2022-01-14 |
Last Update Date | 2022-01-14 |