| NPI | 1265234850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LEO Np 240-548-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-05-23 |