NPI | 1730454364 |
---|---|
Other Name | IJUNANYA OKWUCHI MARCUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MI 4703126099) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-03-15 |
Last Update Date | 2022-05-04 |