| NPI | 1013010198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH BERNAL-CLARK C RN P 410-641-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000410) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-09-17 |