| NPI | 1942922703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD EHIGIE ESENE Owner Np 469-407-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2024-11-11 |