| NPI | 1710363122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY WERE Director Of Clinical Services 410-200-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R170385) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |