NPI | 1669730552 |
---|---|
Former Name | FOLASADE OLOWUDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 79925) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101260600) |
Enumeration Date | 2012-04-27 |
Last Update Date | 2024-11-25 |