NPI | 1922854223 |
---|---|
Other Name | NA |
Entity Type | Organization |
Authorized Contact | PRIYA PREMKUMAR SRINIVAS Nurse Practitioner 240-547-9524 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-04-26 |
Last Update Date | 2024-04-26 |