| NPI | 1841696325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA CORBIN Director Of Finance 301-732-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R134898) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2022-08-29 |