| NPI | 1144678731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI BERKOWITZ Nurse Practitioner 443-660-6712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R213211) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |