| NPI | 1720973308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE HENDERSON Practice Admin/Credentialing 301-669-1870 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |