| NPI | 1841068194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEOMA GRACE OGBALU Nurse Practitioner 405-535-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |