| NPI | 1003345893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY FOOTE CARR Sole Proprieter 301-284-0599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MD R112938) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R112938) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2023-08-28 |