| NPI | 1700595436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWANDA ROLLINS Owner 410-917-9578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LG0600X Nurse Practitioner Gerontology | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-05-19 |