| NPI | 1295928570 |
|---|---|
| Former Name | AKIMYO KIDADDA CHAMPION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024170178) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R178581) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5004213) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2022-11-30 |