| NPI | 1205290384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA O TITUS Owner 301-613-9295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R184425) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |