| NPI | 1497339386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFEMWONYI F JESUOROBO Owner Of Entity 202-368-6707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-07 |