NPI | 1811255953 |
---|---|
Former Name | FELICIA AYODELE OBADINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MD H0103268) |
363A00000X Physician Assistant (Licence: MD C0004728) | |
Enumeration Date | 2012-04-26 |
Last Update Date | 2025-05-12 |