| NPI | 1467774547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA WILDER CEO 202-610-6106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2023-06-08 |