| NPI | 1568785921 |
|---|---|
| Former Name | FADEKE TOYIN ADEWOLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06672) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA06672) |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2021-01-14 |