| NPI | 1205695806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCESS DASHAE EGHIANRUWA Psychiatric Nurse Practitioner 972-750-1617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |