| NPI | 1063234136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA CAMPBELL Interim EVP/CFO 443-849-3844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery |
| 363LW0102X Nurse Practitioner Women's Health | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2025-08-07 |