NPI | 1174239750 |
---|---|
Entity Type | Organization |
Authorized Contact | ONYINYE U OSUAGWU Owner Of Entity 781-318-3609 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-01-26 |
Last Update Date | 2023-01-26 |