| NPI | 1053166132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BROZIC CFO 410-913-1546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-04-22 |