| NPI | 1073226684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA OKPERE Owner/Provider 443-858-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2022-12-28 |