NPI | 1619416286 |
---|---|
Former Name | OBEN OJONG-EGBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX T1501) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL OS16148) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-02-15 |
Last Update Date | 2021-08-10 |