| NPI | 1396585295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN GREY President 410-507-7617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |