| NPI | 1487235172 |
|---|---|
| Former Name | CHINYERE RECHEAL EZEALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R185059) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R185059) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2022-05-20 |