| NPI | 1295083236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA D. PICKENS Senior Director, Compliance & Deleg 301-809-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: NY 7175553) |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2019-02-27 |