| NPI | 1235384900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN L ROBINSON Providor 202-652-0536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC 1010528) |
| Enumeration Date | 2008-11-23 |
| Last Update Date | 2008-11-23 |