| NPI | 1295320059 |
|---|---|
| Former Name | FEYISETAN REBECCA IDOWU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2312541) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2024-05-26 |