| NPI | 1790597862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI DIXON Director, Finance 301-533-4251 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-10-31 |