| NPI | 1508489741 |
|---|---|
| Other Name | PLLC |
| Entity Type | Organization |
| Authorized Contact | NELLY OKERE Credential 832-528-5810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2024-08-19 |