| NPI | 1629670203 |
|---|---|
| Former Name | SENAN ISABELLE KAKPO-MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA60419) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2023-08-30 |