| NPI | 1932788122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L PAGE Owner Of Entity 443-484-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |