NPI | 1508521428 |
---|---|
Entity Type | Organization |
Authorized Contact | FELICIA DALPHINE BAILEY Chief Executive Officer/President 443-203-8681 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2021-11-04 |
Last Update Date | 2024-05-01 |