| NPI | 1477805422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOUDIRATOU RADJI Nurse Practitioner 301-272-4267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R156395) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2022-07-21 |