NPI | 1710753314 |
---|---|
Former Name | YVONNE Y OGHENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405606) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 352466) |
Enumeration Date | 2023-11-27 |
Last Update Date | 2024-08-07 |