| NPI | 1730975285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE T EZE Owner 240-245-4164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-06-17 |