| NPI | 1396577045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE MCCAHILL KORMANEC Nurse Practitioner 703-851-6771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |