NPI | 1780170571 |
---|---|
Professional Name | EDNA OBEHI IDEHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21790) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010620) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 21790) | |
Enumeration Date | 2018-07-05 |
Last Update Date | 2024-11-04 |