| NPI | 1134698566 |
|---|---|
| Former Name | TITILAYO GORBATCHEV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 218724) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 218724) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2025-01-31 |