| NPI | 1043850415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMLI S ANYE Nurse Practitioner 240-603-1253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2021-09-11 |