| NPI | 1013549914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NWEKE STELLA Owener 323-674-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2024-06-25 |