| NPI | 1073233912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEDIWURA AJADI Direct Owner 240-997-8976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |