| NPI | 1780493387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERTRUDE NWACHUKWU Owner Of Entity 240-853-4298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-07 |