NPI | 1124398185 |
---|---|
Former Name | TESSA L ADELEKAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R224798) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP011660) |
Enumeration Date | 2012-01-09 |
Last Update Date | 2022-05-19 |