| NPI | 1790485019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA JOY WILLIAMSON Owner/Practice Provider 301-841-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2024-08-16 |