NPI | 1346701133 |
---|---|
Other Name | HILLARY MATOR ADEWALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: TX U9276) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208D00000X General Practice (Licence: TX U9276) | |
Enumeration Date | 2019-03-26 |
Last Update Date | 2024-03-13 |