NPI | 1508079294 |
---|---|
Former Name | YEWANDE TEMITOPE MAKANJUOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 403469) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 559805-1) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403469) | |
Enumeration Date | 2007-05-08 |
Last Update Date | 2022-11-25 |