| NPI | 1194265140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL L NELSON Family Nurse Practitioner 410-424-7993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2023-11-29 |