NPI | 1962508952 |
---|---|
Former Name | OLADOYIN OGUNBADEJO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX 03608) |
Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: TX 70097) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2017-04-10 |