| NPI | 1144675646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA BENEWAAH President 410-499-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R190153) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2023-01-15 |