| NPI | 1780941971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIRGITTA E MILLER Sole Proprieter 410-279-6567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MD D50152) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |