NPI | 1407898687 |
---|---|
Former Name | FOLASHADE SHASANYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024166577) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2011-11-14 |