| NPI | 1851821557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWASI ANWOMEA Administrator 703-468-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |