| NPI | 1548955222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY GETZ Owner/Provider 410-952-5914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 261Q00000X |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-04-28 |