| NPI | 1275957771 | 
|---|---|
| Former Name | FELICIA C IKEBUDE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 2022) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R-155858-0) | 
| Enumeration Date | 2014-02-05 | 
| Last Update Date | 2025-03-26 |