NPI | 1205210531 |
---|---|
Former Name | EMY ODURO-JEFFREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 95004690) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004690) |
Enumeration Date | 2015-07-16 |
Last Update Date | 2024-01-12 |