| NPI | 1548436702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY BLANK Owner 410-741-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0035206) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R097929) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |