| NPI | 1225851389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAFEMISAYO AKINNAGBE Owner 888-664-3375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |