NPI | 1861216384 |
---|---|
Former Name | EDINAM AMESIMEKU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 15580-33) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 15580-33) |
Enumeration Date | 2024-11-12 |
Last Update Date | 2025-08-19 |