| NPI | 1275957771 |
|---|---|
| Former Name | FELICIA C IKEBUDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R-155858-0) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 2022) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2024-10-29 |