| NPI | 1649095571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE G HUMPHREY Founder, Nurse Practitioner 410-929-2166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |