| NPI | 1093592966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN LINDO CEO 443-681-9893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2024-05-22 |