| NPI | 1912457821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIXIE L COLGAN Sole Proprietor 443-255-6417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: PA SP014888) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2017-01-13 |