| NPI | 1659502789 |
|---|---|
| Former Name | ESTHER OFORIWA OKOAMPA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10592) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MN 10592) |
| 363AS0400X Physician Assistant, Surgical (Licence: MN 10592) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-09-18 |