NPI | 1679285472 |
---|---|
Former Name | MARTINA EMBAR ONAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1096782) |
Enumeration Date | 2022-12-23 |
Last Update Date | 2023-08-28 |