| NPI | 1154284107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAMA BUNDU Authorized Official 703-975-0942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-12-06 |
| Last Update Date | 2025-12-06 |