NPI | 1508482746 |
---|---|
Former Name | OLUBUNMI ADIJAT KUBURAT SONUGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: GA RN174210) |
Enumeration Date | 2020-06-23 |
Last Update Date | 2020-06-23 |