| NPI | 1265875850 |
|---|---|
| Former Name | ADEBOLA A ADESOYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2022-09-07 |