| NPI | 1194496703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLETTA WASHINGTON Manager 202-412-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2025-06-04 |