| NPI | 1124111000 |
|---|---|
| Former Name | ABISOLA BERNICE FAMAKINWA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 208533) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: ME 208533) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-01-10 |