| NPI | 1720465495 |
|---|---|
| Former Name | NKECHINYE PAMELA OMESIETE ADEJARE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 326289) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME158441) |
| 208C00000X Colon & Rectal Surgery (Licence: FL ME155441) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2024-01-02 |