| NPI | 1477178069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM ZIMELA Owner 240-362-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2023-11-04 |