| NPI | 1841039898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDONIE HEUMEN Nurse Practitioner 443-927-9694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2026-09-18 |