| NPI | 1750158374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHE WATSON Practice Owner 301-870-7287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |