| NPI | 1558068452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA VARGAS Sole Member 443-235-3875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-10 |