| NPI | 1548582141 |
|---|---|
| Former Name | MFON EDEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 620252) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F341228) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2022-11-18 |