| NPI | 1912672403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEESHA HOLDEN-WHITE Owner/Family Nurse Practitioner 443-944-9245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-08-16 |