| NPI | 1184113417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM ZIMELA C RN P 240-362-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R201782) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R201782) | |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2022-01-31 |