| NPI | 1568721470 |
|---|---|
| Former Name | IFEOMA EZEBUILO-UKACHUKWU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY f403190) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f337046-1) |
| 363L00000X Nurse Practitioner (Licence: TX AP124717) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2024-07-18 |