| NPI | 1962809392 |
|---|---|
| Former Name | STEPHANIE ADIGUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP09917) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306935) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2018-05-16 |