NPI | 1366249831 |
---|---|
Former Name | COMFORT DABERECHI EZEANOCHIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA F01251104) |
Enumeration Date | 2025-03-03 |
Last Update Date | 2025-03-03 |