| NPI | 1437669629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MARIE BLOSSER Nurse Practitioner / Owner 410-591-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R134812) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |