| NPI | 1679833271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SENAIT TEWOLDE Np 202-670-2570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: DC RN1003185) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-17 |