NPI | 1033839469 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIKA DIXON Nurse Practitioner Owner 443-540-6880 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2022-08-29 |
Last Update Date | 2022-08-29 |