| NPI | 1134852775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZANEEN NASSIRY Owner/Authorized Official 571-839-0318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-01 |