| NPI | 1497965727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JEAN EATON Owner 301-865-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R050640) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-03-07 |