| NPI | 1134910995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHMAH GRANT Employee 410-994-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-05-13 |