NPI | 1336838028 |
---|---|
Former Name | FLORENCE O AJIBULU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 10191) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN 10191) |
Enumeration Date | 2023-05-08 |
Last Update Date | 2024-09-10 |