| NPI | 1225336209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HENDRIX Owner 301-461-8325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R077897) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |