| NPI | 1215812086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDI-ANN LEWIS-DAWKINS Nurse Practitioner Owner 443-438-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2025-08-09 |
| Last Update Date | 2025-08-09 |