NPI | 1356792790 |
---|---|
Former Name | IBUKUNOLUWA OLUWAPELUMI PICKENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO.1739) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL DO.1739) |
Enumeration Date | 2016-06-27 |
Last Update Date | 2023-12-13 |