| NPI | 1639897788 |
|---|---|
| Former Name | AYODELE C IFAFORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 029370) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 29370) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2023-07-22 |