NPI | 1154993350 |
---|---|
Entity Type | Organization |
Authorized Contact | SUNNY B DIFFANG Owner Of Entity 410-528-3866 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-07-15 |
Last Update Date | 2021-08-05 |