| NPI | 1801490024 |
|---|---|
| Former Name | SATURDAY IDEMUDIA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1033763) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1033763) |
| Enumeration Date | 2020-11-29 |
| Last Update Date | 2025-05-06 |