NPI | 1992156962 |
---|---|
Former Name | FIDELIA ONYEBUCHI DIKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 567085-) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95003898) |
363LF0000X Nurse Practitioner, Family (Licence: CA 567085) | |
Enumeration Date | 2016-06-30 |
Last Update Date | 2022-04-12 |