| NPI | 1851477764 |
|---|---|
| Former Name | FOLASADE MOFOLUSO BASORUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX L3415) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2014-04-04 |