NPI | 1124604988 |
---|---|
Professional Name | KELECHI ODIMMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01475500) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14318700) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 2022030241) | |
Enumeration Date | 2021-03-22 |
Last Update Date | 2024-02-12 |