NPI | 1568219970 |
---|---|
Entity Type | Organization |
Authorized Contact | MADELEINE WILSON HAO Owner 703-420-3267 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2024-05-02 |
Last Update Date | 2024-06-04 |