| NPI | 1881164358 |
|---|---|
| Former Name | THERESA NGOZI ODOGWU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP019271) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: PA SP019271) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2024-04-04 |