NPI | 1821268608 |
---|---|
Former Name | OLAYEMI A OGUTUGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405445-01) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 559079-1) |
Enumeration Date | 2008-03-07 |
Last Update Date | 2025-06-11 |