| NPI | 1497178529 |
|---|---|
| Former Name | AMY OGBONNAYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA10145) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 2324) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2019-06-07 |