| NPI | 1821410994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA KAYLOE Partner 571-275-2019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |