| 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 |