NPI | 1457535437 |
---|---|
Former Name | AUGUSTINA OLAJUMOKE OPEEWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R131119) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1010097) |
Enumeration Date | 2007-12-26 |
Last Update Date | 2019-09-16 |