| NPI | 1356980270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MADUFORO CEO 240-254-3375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2024-06-05 |