| NPI | 1275427858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZI B KORIE Owner 443-447-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-06-20 |