| NPI | 1417832585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABELLE ETHEL OCHOLLA Pmhnp Bc 774-297-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |