| NPI | 1487424115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWASEYI LADIPUPO SOETAN Np Psychiatric 424-622-8428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-02-19 |