| NPI | 1467220442 |
|---|---|
| Former Legal Business Name | BUPE MUSHILI PMHNP |
| Entity Type | Organization |
| Authorized Contact | BUPE C MUSHILI Owner 909-870-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2024-05-29 |