NPI | 1679114755 |
---|---|
Former Name | VICTORIA M PENDER-OKOME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R172268) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R172268) |
Enumeration Date | 2019-09-30 |
Last Update Date | 2023-03-03 |