NPI | 1740298579 |
---|---|
Former Name | IMMACULATA UKOH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R107244) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R107244) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2023-02-24 |