NPI | 1134760671 |
---|---|
Entity Type | Organization |
Authorized Contact | HOPE BIRD Pediatric Nurse Practitioner, Lacta 410-992-0511 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant |
Enumeration Date | 2019-10-07 |
Last Update Date | 2019-10-07 |