| NPI | 1831916725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ELIZABETH GROTE Owner, Nurse Practitioner 443-534-4793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2025-03-17 |