NPI | 1396007035 |
---|---|
Former Name | CLEMENTINE AJONGAKOG ATABONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R209831) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD R209831) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MD R209831) | |
Enumeration Date | 2012-06-08 |
Last Update Date | 2020-10-23 |