NPI | 1194982579 |
---|---|
Former Name | ADESUWA RUBY IGHODARO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA09784700) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA09784700) |
Enumeration Date | 2008-05-22 |
Last Update Date | 2019-12-11 |