| NPI | 1699474924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWANDA ROLLINS Owner 443-272-1189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| 363LG0600X Nurse Practitioner Gerontology | |
| 363LW0102X Nurse Practitioner Women's Health | |
| 363LX0106X Nurse Practitioner Occupational Health | |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-05-19 |