| NPI | 1972964849 |
|---|---|
| Other Name | NICOLE IKEBATA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 66384) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA MD-55795) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2025-10-06 |