| NPI | 1003678608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOLULOPE O IGE Nurse Practitioner 443-879-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |