| NPI | 1255644423 |
|---|---|
| Former Name | OLUKEMI ANTONIA MOREIRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0004263) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031357) |
| 363A00000X Physician Assistant (Licence: VA 0110003287) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2021-09-29 |