| NPI | 1649023581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH NGALE President 301-512-0726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-05-30 |