| NPI | 1194306274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UGOEZI BRIDGET AGU Nurse Practitioner 702-964-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2023-04-06 |