| NPI | 1649666025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DENISE BARNES MARSHALL Owner 202-775-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD20145) |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2015-04-12 |