| NPI | 1669817136 |
|---|---|
| Former Name | MODUPE FOLASHADE FASESIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q8025) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q8025) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2020-06-30 |