| NPI | 1104434679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSAKPOLO UWOGHIREN Owner Of Entity 425-312-3184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |