| NPI | 1932280401 |
|---|---|
| Former Name | ELLIE O IWU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA03161) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA RTP 006143) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2013-06-25 |