| NPI | 1881139954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSSANA M WRIGHT Nurse Practitioner 443-799-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD R143399) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |