| NPI | 1992567077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATUMA A GUHAD Psychiatric Nurse Practitioner 612-735-0524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2025-01-20 |