| NPI | 1063023893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUKAYAT OLUWADAMILOLA BOJUWON Administrator 202-494-2582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 363LF0000X Nurse Practitioner, Family | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2023-10-05 |