Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | R235436 | MD |
NPI | 1003382433 |
---|---|
Provider Name | Ms. Christina Joy Williamson |
First Address | Baltimore, MD 21223-1558 |
Second Address | Baltimore, MD 21223-1558 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2018 |
Last Update Date | 24/10/2018 |