Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174V00000X | Clinical Ethicist |
NPI | 1265820278 |
---|---|
Provider Name | Ms. Oluwapelumi Olukotun |
First Address | San Luis Rey, CA 92068-0558 |
Second Address | Oceanside, CA 92056-2669 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2014 |
Last Update Date | 13/08/2020 |