| NPI | 1922878248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKINA WILSON Chief Operating Officer 410-591-4273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0050X Clinic/Center Family Planning, Non-Surgical |
| Additional Taxonomies | 174400000X Specialist |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2025-04-03 |