| NPI | 1326759606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA RUBY Owner 443-375-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2023-01-27 |