| NPI | 1740298579 |
|---|---|
| Former Name | IMMACULATA UKOH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/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 |