| NPI | 1093361057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERMESOLA M DYER CEO 202-505-5207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207QB0002X Family Medicine Obesity Medicine |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2025-07-22 |