| NPI | 1639332315 |
|---|---|
| Other Name | OMOTOLA EBUNOLUWA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A112523) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2012-07-30 |