NPI | 1730479452 |
---|---|
Former Name | OLUMAYOWA OLUFUNKE PITAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: GA 82403) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-04-14 |
Last Update Date | 2019-08-07 |