| NPI | 1184423337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGDALENE O IMUZE Owner Of Entity 667-450-8376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |