NPI | 1750896940 |
---|---|
Former Name | MAIMUNATU MANSARAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN966318) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R154107) |
Enumeration Date | 2017-12-10 |
Last Update Date | 2020-07-23 |