| NPI | 1932820230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILENA MAYO-MILLS Executive Director 202-466-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-09-06 |