| NPI | 1275233512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELAYNA KELLER Owner 443-303-6732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 363AM0700X Physician Assistant, Medical | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |