| NPI | 1194230383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANA GOMES Credentialing Manager 240-629-3982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-12-10 |
| Last Update Date | 2026-02-20 |