NPI | 1205167434 |
---|---|
Former Name | OBIANUJU AGU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP18069) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 18069) |
Enumeration Date | 2010-01-28 |
Last Update Date | 2024-12-06 |