| NPI | 1346815180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGATHA N UKAEGBU Owner Of Entity 443-275-1031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-24 |