NPI | 1780173864 |
---|---|
Former Name | CHIAGOZIEM JANE OBIAJUNWA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036171759) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2023-00632) |
207Q00000X Family Medicine (Licence: WA ML60866561) | |
Enumeration Date | 2018-05-04 |
Last Update Date | 2024-10-14 |