NPI | 1891113932 |
---|---|
Former Name | OLAMIJU OLALEYE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9255338) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9255338) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN9255338) | |
Enumeration Date | 2014-04-05 |
Last Update Date | 2023-12-13 |