| NPI | 1093024010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIRA Z ALI IBRAHIM Owner And Solo Practitioner 301-613-6351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VA 0101244137) |
| Enumeration Date | 2010-09-26 |
| Last Update Date | 2010-09-26 |