| NPI | 1457818338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY WRIGHT-SISK Director Of Physician Enterprise 443-422-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2021-08-31 |