| NPI | 1700592524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSADEBAMWEN LIZZY OMOREGIE Owner 425-529-3814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |