| NPI | 1790559151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH NINI VEBANGSI Owner 240-486-2783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-28 |