| NPI | 1073089959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA MBUTAMBE Owner 202-367-3927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2023-07-18 |