| NPI | 1073918322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY KRAMER Owner 410-831-3137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD AC000013) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC000013) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2021-10-29 |