NPI | 1164096319 |
---|---|
Former Name | THERESA NKECHI OKOYE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: SC 259365) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 24962) |
Enumeration Date | 2021-05-13 |
Last Update Date | 2021-05-21 |