| NPI | 1891440566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAMA PANDA Owner 240-533-1395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 163WX1500X Registered Nurse, Ostomy Care | |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-02-22 |