| NPI | 1205577129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZINWANNE JUDITH IROBEREACHI C RN P Pmh 301-377-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-02-02 |