NPI | 1699360289 |
---|---|
Former Name | OLAJUMOKE ADEWALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209022776) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71011593A) |
Enumeration Date | 2021-03-04 |
Last Update Date | 2021-10-13 |