NPI | 1316728173 |
---|---|
Entity Type | Organization |
Authorized Contact | KADIJA JALLOH CONTEH-BARRAT Practice Owner 571-543-4880 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-10-09 |
Last Update Date | 2023-10-09 |