NPI | 1962273698 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA S TUBMAN Psychiatric Nurse Practitioner 443-480-7510 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2024-01-11 |
Last Update Date | 2024-01-11 |