NPI | 1851720676 |
---|---|
Entity Type | Organization |
Authorized Contact | PERPETUA B JOHNSON Owner 301-322-7722 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R148142) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN961144) |
Enumeration Date | 2013-11-02 |
Last Update Date | 2021-11-17 |