NPI | 1275783557 |
---|---|
Former Name | OLAWUNMI MAJEKODUNMI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085003602) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601005304) |
Enumeration Date | 2008-09-24 |
Last Update Date | 2020-06-15 |