| NPI | 1093000432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY T REUS Nurse Practitioner 410-433-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R146510) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |