| NPI | 1306697487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNEKA EZINWANNE IKEDINMA Managing Member 507-629-0598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-04-16 |