| NPI | 1588446967 |
|---|---|
| Other Name | HEALTHY KIDS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | ZHANNA BLAT Dof 410-922-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |