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 |