| NPI | 1275885402 |
|---|---|
| Former Name | COSMOS AMPABENG CHEREME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: OH PN130922) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN130922) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |