| NPI | 1003108234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PEACOCK Office Manager 202-744-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R165231) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |