| NPI | 1295386233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEYINWA CORDELIA IBEANU Family Nurse Practitioner/Provider 443-326-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2020-09-04 |