NPI | 1194036053 |
---|---|
Former Name | OMASILEM ELEKWA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016941) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN613239) |
Enumeration Date | 2010-06-25 |
Last Update Date | 2021-12-16 |