Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | R134502 | MD |
NPI | 1053307009 |
---|---|
Provider Name | Ms. Erika Ann Borlie |
First Address | Parkville, MD 21234-7610 |
Second Address | Towson, MD 21204-6800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2005 |
Last Update Date | 13/08/2010 |