NPI | 1831250455 |
---|---|
Other Name | ELLEN O FADOJI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 6359) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00158100) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2012-10-16 |