| NPI | 1437974961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT DANIEL Owner 240-230-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2025-03-13 |