NPI | 1417623984 |
---|---|
Other Name | TAYO O ABDUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 114603) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 114603) |
Enumeration Date | 2021-08-17 |
Last Update Date | 2021-09-01 |