| NPI | 1811666704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CHENWE AKANO Nurse Practitioner 410-444-4751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2022-09-01 |