| NPI | 1447633771 |
|---|---|
| Former Name | FODE KABA SYLLA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9289140) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL 9289140) |
| 376G00000X Nursing Home Administrator (Licence: FL 9289140) | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2017-05-30 |