NPI | 1063147395 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN GREY Owner 410-995-7439 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
Enumeration Date | 2022-07-20 |
Last Update Date | 2023-07-25 |