| NPI | 1548259757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LISHA WHITTINGTON-WASHINGTON CEO 301-322-1696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R094051) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2020-08-22 |