| NPI | 1609318054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINNIE NDEM Nurse Practitioner 410-709-8471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MD R132005) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |