| NPI | 1578039822 |
|---|---|
| Former Name | IFEOMANNEKA SUSAN IKWUKEME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343722) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2023-06-08 |