Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | D69053 | MD |
NPI | 1023155876 |
---|---|
Provider Name | Amy Parker Ruhl |
First Address | Baltimore, MD 21201-5640 |
Second Address | Baltimore, MD 21287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 19/06/2018 |