NPI | 1952653867 |
---|---|
Former Name | OLABIMPLE ALIMI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085004481) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601011454) |
363A00000X Physician Assistant (Licence: NY 029348-01) | |
Enumeration Date | 2012-10-03 |
Last Update Date | 2022-12-29 |