NPI | 1548560519 |
---|---|
Former Name | KRISTIE RENEE ODEJOKE-MAXWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024190695) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 75273) |
363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2011009868) | |
Enumeration Date | 2010-10-25 |
Last Update Date | 2024-09-12 |