| NPI | 1255450722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHASSAN ATIYEH Partner 703-914-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2025-07-21 |