| 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 |