NPI | 1659645158 |
---|---|
Former Name | JENNIFER IWUMUNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 305738) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NY 340820) |
Enumeration Date | 2012-02-29 |
Last Update Date | 2019-06-12 |