| NPI | 1215759816 |
|---|---|
| Former Name | JUDITH G OGBONNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15183200) |
| Enumeration Date | 2024-10-26 |
| Last Update Date | 2024-10-26 |