| NPI | 1043004476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FUNMILAYO IGBINIGIE Owner 469-638-3162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |