| NPI | 1457031577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIA VALENTINE Family Nurse Practitioner/ Owner 443-501-9201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2024-01-17 |