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 |