NPI | 1992160568 |
---|---|
Entity Type | Organization |
Authorized Contact | JANICE ADAMS-KING Owner 410-298-0304 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R11306) |
Enumeration Date | 2015-12-23 |
Last Update Date | 2015-12-23 |