| NPI | 1245644640 |
|---|---|
| Other Name | BUKOLA FABA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F309178-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 685259) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2019-12-16 |