| NPI | 1720479926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH M REID Nurse Practitioner / Owner 410-990-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R213017) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2023-05-31 |