NPI | 1154956811 |
---|---|
Former Name | ANNASTECIA CHINASA OKIBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: TX AP144912) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TX AP144912) |
Enumeration Date | 2020-03-03 |
Last Update Date | 2025-04-03 |