NPI | 1578853586 |
---|---|
Former Name | JOSEPHA-PEARL AIGBODESI ILUONAKHAMHE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX R0252) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 01094972A) |
Enumeration Date | 2011-04-11 |
Last Update Date | 2024-12-13 |