| NPI | 1972360501 |
|---|---|
| Former Name | MAGDALENE ONIY IBEH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1090822) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 768369) |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-05-25 |