NPI | 1811423981 |
---|---|
Former Name | DEBORAH ADEJORO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NM 78724) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 507AP57277452) |
Enumeration Date | 2017-05-10 |
Last Update Date | 2024-06-28 |