NPI | 1356020556 |
---|---|
Entity Type | Organization |
Authorized Contact | OGECHUKWU LINDA UGWU Pmhnp Bc 651-795-9209 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-07-14 |
Last Update Date | 2024-11-22 |