| NPI | 1770953747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE YOUVONNE KINGEL Nurse Practitioner 443-415-3371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-10-02 |