| NPI | 1326929746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODIANOSEN OKOJIE CEO 410-275-0928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-09-11 |