| NPI | 1316779598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVETTE AGATHA AGBOMMA NDUBISI Pmhnp Bc/Provider 954-451-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-16 |