| 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 | 363L00000X Nurse Practitioner (Licence: TX AP124717) | 
| 363LF0000X Nurse Practitioner, Family (Licence: NY f337046-1) | |
| Enumeration Date | 2012-05-11 | 
| Last Update Date | 2025-06-24 |