NPI | 1639634777 |
---|---|
Other Name | STEPHANIE FUNMILAYO OGUNLEYE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 224091) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 25409) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95011442) | |
Enumeration Date | 2019-02-03 |
Last Update Date | 2021-05-24 |