| NPI | 1154101921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE WANJIRU DONNERSTAG Pmhnp 443-600-8467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-09-29 |