NPI | 1255844932 |
---|---|
Former Name | LAURA IZUEGBU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134812) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100863-C-NP) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023727) | |
Enumeration Date | 2017-11-16 |
Last Update Date | 2024-05-08 |