NPI | 1376018614 |
---|---|
Former Name | JULIANA IGE-ODUNUGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139068) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX AP139068) |
Enumeration Date | 2018-10-12 |
Last Update Date | 2024-05-07 |