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NPI 1437736220 · on the registry since 2021

Practice

Address
4752 Band Hall Hill Rd
Westminster, MD 21158
Phone
(410) 382-8357

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland