| NPI | 1053167825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLANIKE OYEYEMI KEKERE Nurse Practitioner 475-441-3924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-05-10 |