| NPI | 1710540323 |
|---|---|
| Professional Name | NICOLE IKEGBUNAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U0361) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2022-11-17 |