| NPI | 1588864326 |
|---|---|
| Former Name | AISHAT ODIDI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: KY 49069) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 248583) |
| 208D00000X General Practice (Licence: VA 0101255329) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2021-06-10 |