NPI | 1407182983 |
---|---|
Former Name | OBIANAMMA IFEMESIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 123918) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304369) |
Enumeration Date | 2009-10-19 |
Last Update Date | 2021-03-31 |