| NPI | 1144810177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIOLA OSHIN President 410-941-8212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2023-08-23 |