NPI | 1609139088 |
---|---|
Former Name | ADERONKE A. OLUBUMMO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 119128) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 34281) |
Enumeration Date | 2012-06-20 |
Last Update Date | 2022-01-12 |