| NPI | 1285092734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYSTRA EASTLYN WILLIAMS Nurse Practitioner 443-979-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R132674) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2019-08-18 |