| NPI | 1346506979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY COLLEEN PALAKANIS Owner 443-493-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R105366) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R091871) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |