| NPI | 1306086848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M WILKINSON Owner/Officer 301-997-0611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R063357) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |