| NPI | 1326494212 |
|---|---|
| Former Name | LOIC NDAMUKIJUMUKIZA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRNCNP019547) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: OH RN.353363) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-09-15 |