| NPI | 1801577820 |
|---|---|
| Former Name | OLAMIDE T ISRAEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 2023086798) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-08-10 |