| NPI | 1417773664 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KRISTIE Q WASHINGTON Medical Consultant 301-731-7200  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2024-12-03 | 
| Last Update Date | 2024-12-03 |