| 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 |