| NPI | 1306293063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAI SEUNARINE Administrator 410-433-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R155112) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |