| NPI | 1942739263 |
|---|---|
| Former Name | ANTHONIA OBIAGELI UDEH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 2021000785) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 646425) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2023-11-01 |