NPI | 1346681020 |
---|---|
Former Name | TUNDE GORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 20211168NP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123999) |
363LF0000X Nurse Practitioner, Family (Licence: OR 202109011NP-PP) | |
Enumeration Date | 2013-07-10 |
Last Update Date | 2021-10-07 |