| NPI | 1952926321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNICE NSOFOR Credential/Billing 469-225-3670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-05-28 |