| NPI | 1518706100 | 
|---|---|
| Former Name | BLESSING IJEOMA EZEIGBO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2331895)  | 
| Enumeration Date | 2024-05-22 | 
| Last Update Date | 2024-05-22 |