| NPI | 1609010925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SHARKEY Manager, Professional Fee Billing 443-777-7142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |