| NPI | 1972235737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER T HOLMES MASON Member 443-994-6889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-10-07 |