NPI | 1518362862 |
---|---|
Former Name | RUTH DAMILOLA AHOVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5009234) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60931406) |
Enumeration Date | 2014-10-29 |
Last Update Date | 2020-03-17 |