NPI | 1609118017 |
---|---|
Former Name | IRENE EKENE IGWEBIKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX 4548I) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01076900A) |
Enumeration Date | 2013-03-23 |
Last Update Date | 2016-09-25 |