| NPI | 1437964939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AITENOBHAN OFEINMUN Owner Of Entity 972-827-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |