| NPI | 1619571494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIODUN ELIZABETH JAIYEOLA Authorized Official/Owner 301-433-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2022-11-11 |