| NPI | 1124407135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WOLFE MAYER Nurse Practitioner 202-557-8138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0017136984) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |