NPI | 1811627672 |
---|---|
Former Name | SADIAT OMOWUNMI POPOOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023003901) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 31873) |
Enumeration Date | 2022-06-14 |
Last Update Date | 2023-12-26 |