| NPI | 1407731011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA UZOAMAKA IHESIABA Owner 210-300-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-11 |