Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | D0087730 | MD |
NPI | 1114269750 |
---|---|
Provider Name | Ann Peters |
First Address | Baltimore, MD 21204-7701 |
Second Address | Baltimore, MD 21204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2013 |
Last Update Date | 30/10/2019 |