| NPI | 1386478782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IJEOMAH AHAGHOTU Owner 240-478-4938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2025-04-03 |