| NPI | 1932667326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE CHINYERE UKAEGBU Nurs Practitioner 202-531-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2021-12-08 |