| NPI | 1821773433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY LYNN BERGER Nurse Practitioner 410-490-6419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-08-23 |