| NPI | 1285329839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMMALA SHETEF ROUNDTREE Psychiatric Nurse Practitioner 703-216-1812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-09-26 |