| NPI | 1609614668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHURI LOVELINE NWUNASI Owner 651-300-5212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2026-01-07 |