NPI | 1902495658 |
---|---|
Other Name | IFAYOMI FASOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374K00000X Religious Nonmedical Practitioner |
Additional Taxonomies | 175F00000X Naturopath |
Enumeration Date | 2021-01-15 |
Last Update Date | 2021-01-15 |