| NPI | 1366883043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA A RUBY Owner 410-861-5256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R084575) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |