| NPI | 1013637404 |
|---|---|
| Former Name | OPHELIA OSINACHI OKEBAGTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01347600) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |