| 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 |